Surgical outcomes in phacoemulsification after application of a risk stratification system
Ioannis T Tsinopoulos,1 Lampros P Lamprogiannis,2 Konstantinos T Tsaousis,1 Asimina Mataftsi,1 Chrysanthos Symeonidis,1 Nikolaos T Chalvatzis,1 Stavros A Dimitrakos11Second Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece; 2First...
Guardado en:
Autores principales: | , , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Dove Medical Press
2013
|
Materias: | |
Acceso en línea: | https://doaj.org/article/e34ac029df8c4d3db333243156733d7a |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:e34ac029df8c4d3db333243156733d7a |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:e34ac029df8c4d3db333243156733d7a2021-12-02T06:36:38ZSurgical outcomes in phacoemulsification after application of a risk stratification system1177-54671177-5483https://doaj.org/article/e34ac029df8c4d3db333243156733d7a2013-05-01T00:00:00Zhttp://www.dovepress.com/surgical-outcomes-in-phacoemulsification-after-application-of-a-risk-s-a13077https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ioannis T Tsinopoulos,1 Lampros P Lamprogiannis,2 Konstantinos T Tsaousis,1 Asimina Mataftsi,1 Chrysanthos Symeonidis,1 Nikolaos T Chalvatzis,1 Stavros A Dimitrakos11Second Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece; 2First Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA General Hospital, Thessaloniki, GreeceBackground: The purpose of this study was to determine whether application of a risk stratification system during preoperative assessment of cataract patients and subsequent allocation of patients to surgeons with matching experience may reduce intraoperative complications.Methods: Nine hundred and fifty-three consecutive patients (1109 eyes) undergoing phacoemulsification cataract surgery were assigned to two groups, ie, group A (n = 498 patients, 578 eyes) and group B (n = 455 patients, 531 eyes). Patients from group A were allocated to surgeons with varying experience with only a rough estimate of the complexity of their surgery. Patients from group B were assigned to three risk groups (no added risk, low risk, and moderate-high risk) according to risk factors established during their preoperative assessment and were respectively allocated to resident surgeons, low-volume surgeons, or high-volume surgeons. Data were collected and entered into a computerized database. The intraoperative complication rate was calculated for each group.Results: The intraoperative complication rate was significantly lower in group B than in group A (group A, 5.88%; group B, 3.2%; P < 0.05). Patients from group B with no added risk and allocated to resident surgeons had a significantly lower rate of intraoperative complications than those from group A allocated to resident surgeons (group A, 7.2%; group B, 3.08%; P < 0.05).Conclusion: Our study demonstrates that allocation of cataract patients to surgeons matched for experience according to a uniform and reliable preoperative assessment of their risk of complications allows for better surgical outcomes, especially for resident surgeons.Keywords: cataract, risk stratification, complications, residentTsinopoulos ITLamprogiannis LPTsaousis KTMataftsi ASymeonidis CChalvatzis NTDimitrakos SADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 895-899 (2013) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
Ophthalmology RE1-994 |
spellingShingle |
Ophthalmology RE1-994 Tsinopoulos IT Lamprogiannis LP Tsaousis KT Mataftsi A Symeonidis C Chalvatzis NT Dimitrakos SA Surgical outcomes in phacoemulsification after application of a risk stratification system |
description |
Ioannis T Tsinopoulos,1 Lampros P Lamprogiannis,2 Konstantinos T Tsaousis,1 Asimina Mataftsi,1 Chrysanthos Symeonidis,1 Nikolaos T Chalvatzis,1 Stavros A Dimitrakos11Second Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece; 2First Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA General Hospital, Thessaloniki, GreeceBackground: The purpose of this study was to determine whether application of a risk stratification system during preoperative assessment of cataract patients and subsequent allocation of patients to surgeons with matching experience may reduce intraoperative complications.Methods: Nine hundred and fifty-three consecutive patients (1109 eyes) undergoing phacoemulsification cataract surgery were assigned to two groups, ie, group A (n = 498 patients, 578 eyes) and group B (n = 455 patients, 531 eyes). Patients from group A were allocated to surgeons with varying experience with only a rough estimate of the complexity of their surgery. Patients from group B were assigned to three risk groups (no added risk, low risk, and moderate-high risk) according to risk factors established during their preoperative assessment and were respectively allocated to resident surgeons, low-volume surgeons, or high-volume surgeons. Data were collected and entered into a computerized database. The intraoperative complication rate was calculated for each group.Results: The intraoperative complication rate was significantly lower in group B than in group A (group A, 5.88%; group B, 3.2%; P < 0.05). Patients from group B with no added risk and allocated to resident surgeons had a significantly lower rate of intraoperative complications than those from group A allocated to resident surgeons (group A, 7.2%; group B, 3.08%; P < 0.05).Conclusion: Our study demonstrates that allocation of cataract patients to surgeons matched for experience according to a uniform and reliable preoperative assessment of their risk of complications allows for better surgical outcomes, especially for resident surgeons.Keywords: cataract, risk stratification, complications, resident |
format |
article |
author |
Tsinopoulos IT Lamprogiannis LP Tsaousis KT Mataftsi A Symeonidis C Chalvatzis NT Dimitrakos SA |
author_facet |
Tsinopoulos IT Lamprogiannis LP Tsaousis KT Mataftsi A Symeonidis C Chalvatzis NT Dimitrakos SA |
author_sort |
Tsinopoulos IT |
title |
Surgical outcomes in phacoemulsification after application of a risk stratification system |
title_short |
Surgical outcomes in phacoemulsification after application of a risk stratification system |
title_full |
Surgical outcomes in phacoemulsification after application of a risk stratification system |
title_fullStr |
Surgical outcomes in phacoemulsification after application of a risk stratification system |
title_full_unstemmed |
Surgical outcomes in phacoemulsification after application of a risk stratification system |
title_sort |
surgical outcomes in phacoemulsification after application of a risk stratification system |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/e34ac029df8c4d3db333243156733d7a |
work_keys_str_mv |
AT tsinopoulosit surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT lamprogiannislp surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT tsaousiskt surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT mataftsia surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT symeonidisc surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT chalvatzisnt surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem AT dimitrakossa surgicaloutcomesinphacoemulsificationafterapplicationofariskstratificationsystem |
_version_ |
1718399843246800896 |